基于人工智能手卫生系统对医院后勤人员手卫生培训及其效果

Effect of artificial intelligence-based hand hygiene examination system on hand hygiene training of logistics personnel

  • 摘要:
    目的  探讨人工智能手卫生考试系统对提高医院后勤人员手卫生正确率、合格率的应用效果。
    方法  选取2023年10月-2024年3月海军军医大学第三附属医院在岗的381名后勤人员为研究对象, 组织其参加手卫生理论、操作培训, 并应用人工智能手卫生考试系统对其进行5轮次七步洗手法考核, 统计培训前后每个手卫生步骤正确率及总体合格率数据进行对比分析。
    结果  参考的381名后勤人员在手卫生培训后使用人工智能手卫生考试系统进行多轮次考核后手卫生合格率较培训前的12.34%提升到96.06%(χ2=662.053, P<0.001);七步洗手法各步手卫生正确率均有所提高, 其中4L左指关节旋转揉搓正确率(χ2=347.676, P<0.001)、4R右指关节旋转揉搓正确率(χ2=330.724, P<0.001)、5L左大拇指旋转揉搓正确率(χ2=490.733, P<0.001)、5R右大拇指旋转揉搓正确率(χ2=438.805, P<0.001)提升显著。
    结论  较传统七步洗手法培训考核方式, 人工智能手卫生考试系统采用信息化技术可以有效弥补直接监测法观测者“霍桑效应”、不能回放复盘等局限, 显著提高后勤人员手卫生正确率及总体手卫生合格率。

     

    Abstract:
    OBJECTIVE  To explore the effect of artificial intelligence (AI)-based hand hygiene examination system on raising the accurate rate and qualified rate of hand hygiene tests of the logistics personnel.
    METHODS  A total of 381 logistics personnels who were on duty in the Third Affiliated Hospital of Naval Medical University from Oct. 2023 to Mar. 2024 were recruited as the research subjects and were organized to take part in the training of hand hygiene theory and operation. The AI hand hygiene examination system was used for the assessment of 5 rounds of seven-step handwashing methods. The accurate rate of each single hand hygiene step and the total qualified rate were statistically analyzed before and after the training.
    RESULTS  After the rounds of assessment with the use of AI hand hygiene examination system, the qualified rate of hand hygiene of the 381 logistics personnel was 96.06% after the training, higher than 12.34% before the training (χ2=662.053, P < 0.001).The accurate rates of the steps of the seven-step handwashing method increased, and the accurate rates of 4L left knuckle rotational rubbing (χ2=347.676, P < 0.001), 4R right knuckle rotational rubbing (χ2=330.724, P < 0.001), 5L left thumb rotational rubbing (χ2=490.733, P < 0.001) and 5R right thumb rotational rubbing (χ2=438.805, P < 0.001) increased remarkably.
    Conclusion  As compared with the traditional assessment mode for the seven-step handwashing training, the information technology based on AI hand hygiene examination system can effectively remedy the limitations of the direct monitoring of the observer such as ′Hawthorne effect′ and incapable of retrospective review of performance, and it can remarkably raise the accurate rate of hand hygiene and total qualified rate of hand hygiene of the logistics personnel.

     

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